D49.0 Neoplasm of unspecified behavior of digestive system
Instructional Notes:
D49.0 Description: Neoplasm of unspecified behavior of digestive system Exclude1:
neoplasm of unspecified behavior of margin of anus (D49.2)
neoplasm of unspecified behavior of perianal skin (D49.2)
neoplasm of unspecified behavior of skin of anus (D49.2)
↓
D49 Description: Neoplasms of unspecified behavior (D49) Exclude1:
neoplasms of uncertain behavior (D37-D44, D48)
Notes:
Category D49 classifies by site neoplasms of unspecified morphology and behavior. The term 'mass', unless otherwise stated, is not to be regarded as a neoplastic growth.
Include:
'growth' NOS
neoplasm NOS
new growth NOS
tumor NOS
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C00-D49 Description: Neoplasms Notes:
Functional activity
All neoplasms are classified in this chapter, whether they are functionally active or not. An additional code from Chapter 4 may be used, to identify functional activity associated with any neoplasm.
Morphology [Histology]
Chapter 2 classifies neoplasms primarily by site (topography), with broad groupings for behavior, malignant, in situ, benign, etc. The Table of Neoplasms should be used to identify the correct topography code. In a few cases, such as for malignant melanoma and certain neuroendocrine tumors, the morphology (histologic type) is included in the category and codes.
Primary malignant neoplasms overlapping site boundaries
A primary malignant neoplasm that overlaps two or more contiguous (next to each other) sites should be classified to the subcategory/code .8 ('overlapping lesion'), unless the combination is specifically indexed elsewhere. For multiple neoplasms of the same site that are not contiguous, such as tumors in different quadrants of the same breast, codes for each site should be assigned.
Malignant neoplasm of ectopic tissue
Malignant neoplasms of ectopic tissue are to be coded to the site mentioned, e.g., ectopic pancreatic malignant neoplasms are coded to pancreas, unspecified (C25.9).